*
Required Fields
Donation Information
Amount
Type of Donation
One Time Donation
Recurring Crown Jewel Membership
Frequency
Monthly
Annual
Designate my gift to:
(Please include any special instructions.)
Contact Information
*
First Name
*
Last Name
Company Name
*
Address
*
City
*
State/Province
*
Zip/Postal Code
*
Phone
Work Phone
*
Email
Your entry is not a valid email address!
Help Us Cover Costs
Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $0.00 to go to Stayton Public Library Foundation and I will donate $0.00.
No. I will donate $0.00 and Stayton Public Library Foundation will cover the processing costs.
Credit Card Information
*
Card Holder Name
Visa
MasterCard
Discover
*
Card Account Number
Expiration Date
01
02
03
04
05
06
07
08
09
10
11
12
24
25
26
27
28
29
30
31
32
33
34
*
Security Code
The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card.
For
American Express
, the Security Code (CID) can be found on the front of the card.
Close
Billing Address
Same As Above
*
Address
*
City
*
State/Province
*
Zip/Postal Code
Email
Your entry is not a valid email address!
Privacy Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.
Contact Us
: Stayton Public Library Foundation •• P.O. Box 810, Stayton, OR 97383 •• (503) 769-9658 ••
[email protected]
©2024 SofterWare, Inc. v.2024.01-B